14D2283012 CLIA NUMBER - CVS/PHARMACY #03889 HIGHLAND PARK CVS LLC

Laboratory Demographics

  • CLIA Code: 14D2283012
  • Facility Name: CVS/PHARMACY #03889 HIGHLAND PARK CVS LLC
  • Facility Address: 7929 NORTH AVE
    RIVER FOREST, IL
    ZIP 60305
  • Facility Phone: 708 366-2298
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NIHAR SHAH
  • NPI Number: 1003910944
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2283012
LAB Type Pharmacy
Facility Name CVS/PHARMACY #03889 HIGHLAND PARK CVS LLC
Street 7929 NORTH AVE
City RIVER FOREST
State IL
ZIP 60305
Phone 708 366-2298
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Pharmacy
Lab Director NIHAR SHAH

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This page was last updated on: 9/29/2025